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Care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, case management interventions are intended to enhance client safety, well being, and quality of life. These in
Posted 3 days ago
This role directly helps our customers by providing prompt, accurate, thorough and courteous responses to all customer inquiries. This job may require research to resolve these inquiries. Description What You'll Do You will provide effective customer relations by responding accurately, timely and courteously to telephone, written, web or walk in inquiries. All inquiries w
Posted 3 days ago
Supports actuarial services by providing research data, reports, and analysis of the profitability of existing and new lines of business. Description Assists with statistical and reporting functions, regulatory reporting, data testing, and research. Prepares and updates actuarial models and reconciles with financial statements. Performs basic analysis of the rates and rat
Posted 4 days ago
BlueCross BlueShield of South Carolina
- Columbia, SC / Springfield, IL
Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Description Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation
Posted 4 days ago
Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been part of the national landscape, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina ... and much more. We are one of the nation's leading administrator
Posted 4 days ago
Provides blended learning solutions and the use of innovative technology and tools to meet business goals. Responsible for training, developing and coaching activities in various areas. This includes the analysis, design, delivery, evaluation and maintenance required to manage the on going execution of training programs and expected outcomes. Description Facilitates varyi
Posted 4 days ago
Provides blended learning solutions and the use of innovative technology and tools to meet business goals. Responsible for training, developing and coaching activities in various areas. This includes the analysis, design, delivery, evaluation and maintenance required to manage the on going execution of training programs and expected outcomes. Description Facilitates varyi
Posted 4 days ago
Responsible for identifying training needs, developing training materials and facilitating training. Provides training, guidance and leadership for new training specialists. Develops performance assessments and testing materials. Manages trainees and communicates effectively with area management on trainee performance. Description Leads, plans and prioritizes training pro
Posted 4 days ago
Responsible for identifying training needs, developing training materials and facilitating training. Provides training, guidance and leadership for new training specialists. Develops performance assessments and testing materials. Manages trainees and communicates effectively with area management on trainee performance. Description Leads, plans and prioritizes training pro
Posted 4 days ago
Promotes blended learning solutions and the use of innovative technology and tools to meet business goals of developing a high performing workforce. Products web enabled e learning, traditional educational materials, or a blended solution through the use of leading edge technology. Description Uses advanced technologies to design/develop/deploy e learning solutions via we
Posted 4 days ago
Provides prompt, accurate, thorough and courteous responses to all customer inquiries. Inquiries may be non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Ensures effective customer relations by responding accurately, timely, and courteously to telephone, written, web, or walk in
Posted 4 days ago
Provides prompt, accurate, thorough and courteous responses to all complex customer inquiries. Inquiries are typically non routine and require deviation from standard screens, scripts, and procedures. Performs research as needed to resolve inquiries. Description Work Location is 4101 Percival rd. Columbia SC. Working hours are 9 00 am 5 30 pm Pay is commensurate with expe
Posted 4 days ago
Responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Description Conducts internal and external timely operational, compliance, and financial audits of divisions, departments, providers, and activities of the corporation
Posted 4 days ago
Position Purpose As a member of our Audit team, you will be responsible for providing a full range of financial, compliance, and operational audits, business advisory and consultation services, investigations, internal controls, accountability, and use of resources. Delivering a beneficial internal audit experience is what drives the BlueCross BlueShield of South Carolina
Posted 4 days ago
BlueCross BlueShield of South Carolina
- Charleston, SC / Atlanta, GA / Burlington, VT / 46 more...
Provides key financial reports/analysis to support senior management in planning/evaluation requirements/meeting financial objectives related to strategic Pharmacy Benefit Management (PBM) services. Performs analysis, validation and oversight of Corporate PBM Agreement and self funded employer PBM Addenda. Conducts complex market research/competitive analysis/valuation/fi
Posted 4 days ago
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